| NPI | 1518706191 |
|---|---|
| Doing Business As | IRIS CLUBHOUSE |
| Entity Type | Organization |
| Authorized Contact | REBECCA REEVES Executive Director 307-431-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |